Individual
KARISSA CATHERINE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604-4393
(855) 832-6727
Mailing address
611 S 9TH ST, PETERSBURG, IL 62675-1714
(217) 415-4371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
IL
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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